The first gastric bypass procedure was performed in 1994, and the method of performing this type of operation has developed over time with the emergence of new surgical technologies, to become safer and more effective compared to the older techniques used in the past. Gastric bypass is a great option when compared to the rest of weight loss procedures, as it results in more weight loss than adjustable gastric banding or gastric sleeve procedures do.
The advantage of this operation is that the weight loss it induces remains constant over time and the patient is less likely to regain weight after they have lost it.
Gastric bypass surgery helps obesity patients lose weight by both restricting the amount of food a person consumes and reducing the total amount of calories absorbed by the gastrointestinal tract. Gastric bypass procedure also induces some hormonal and physiological changes when food doesn’t pass through the duodenum –first part of small bowel- , as it decreases ghrelin levels, which are the hunger hormone, and increases the levels of leptin hormone, which is the satiety hormone, thereby decreasing the feeling of hunger and suppressing appetite, restricting the amount of food the patient consumes
SASI is one of the most recent types of gastric bypass operations, and it has been called by this name because it is through which the path of food entering the stomach is divided into two tracks:
Laparoscopic SASI bypass involves performing two simultaneous procedures, namely gastric sleeve, and gastric bypass, where the process is divided into two stages:
Gastric bypass surgery helps severe obesity patients to lose significant weight permanently, as the percentage of lost weight can reach about 60% of extra body weight within two years, in addition to this it helps patients improve the quality of their lives and their ability to do many activities.
Moreover, gastric bypass may treat or prevent several diseases, such as:
Gastric bypass operations can be very successful in helping obese patients lose weight.
But every surgery has some side effects, below are the most common ones:
This surgery makes the stomach smaller and causes food to bypass part of the small intestine, reduced surface area affects the digestion and absorption of the foods and nutrients.
Doctors aim at this process to help the small intestine get rid of excess glucose for diabetics.
Gastric bypass surgery often improves symptoms of type 2 diabetes, even before weight loss begins.
"The main principle is that after a stomach bypass, the intestine becomes the most important tissue to use glucose and this reduces blood sugar levels," said Dr. Nicholas Sotiropoulos, a researcher at the Endocrinology Department at Children's Hospital in Boston and the Boston College of Medicine.
At Ilajak Medical we examine each patient very carefully, after proper examination and eligibility tests, if the patient is eligible for Gastric bypass, we start with a detailed medical history including medications, allergies, and blood tests.
The gastric bypass procedure is used in cases of severe obesity, but because this surgical procedure is a major surgery that can pose some risks and side effects, the decision to perform this procedure is done after weighing possible benefits and risks. The obesity patient needs to meet some criteria to qualify for gastric bypass, and these criteria depends upon body mass index, and the clinical assessment of the patient health condition, according to the following:
Patients qualify for gastric bypass based on the above criteria are evaluated using a comprehensive, multidisciplinary system, usually performed by a bariatric surgeon, a dietitian, and a psychologist.
Eligibility criteria for Gastric bypass include body mass index should be 40 or greater.
The gastric bypass operation usually takes between two and three hours.
Most gastric bypass operations are laparoscopic, which means that the surgeon makes small incisions.
This makes recovery time shorter. Most people stay in the hospital for two or three days and return to their usual activities within 3 to 5 weeks.
Bariatric surgeries treatments make slight changes in the way your body absorbs some nutrients, also the amount of food you eat has been greatly reduced, so taking vitamins and nutritional supplements is a necessity, at Ilajak Medical we advise and perform some medical tests for vitamins, supplements, and minerals; To determine the appropriate dosages.
Vitamins and nutritional supplements must be taken daily to prevent malnutrition.
Doctors recommend that gastric bypass patients take vitamins and calcium along with vitamin D, iron, vitamin C, vitamin D, and vitamin B12.
Vitamins and nutritional supplements should be taken daily to prevent malnutrition.
Doctors recommend that gastric bypass patients take vitamins and calcium with vitamin D, iron, vitamin C, and vitamin B12.
Most gastric bypass operations are laparoscopic, which means the surgeon makes small incisions.
This leads to shorter recovery times.
Most people stay in the hospital for two or three days, and they return to the activities they are used to within 3 to 5 weeks.
It will not be allowed generally to eat for a day or two until the stomach and digestive system heal and then you will follow a specific diet for a few weeks, we will talk about it later in this article.
Gastric bypass reduces stomach size and changes the way food enters the intestine.
After surgery, it is important to have adequate nutrition while maintaining weight loss.
Your doctor will likely recommend:
Patients may lose 30% to 50% of their excess weight in the first six months, and 77% of their excess weight 12 months after surgery.
Other studies have also shown that patients do not gain the weight they lost by 50% to 60% of the excess weight 10 to 14 years after surgery.
A second surgery to repair — or redo — a gastric bypass may be appropriate.
This is especially true if the result below expectation or you can further decrease the surface area.
Turkey has become famous in medical tourism in general, and bariatric surgeries in particular in terms of reasonable price and satisfactory results.
You may contact us to obtain an assessment of your condition and accurate medical advice.
It is true that all weight loss processes lead to weight loss to one degree or another, but there are some anatomical or physiological factors that can encourage gastric bypass as an option to manage obesity, and there are some other factors that experts consider an absolute contraindication to perform gastric bypass
Gastric bypass surgery is a permanent and irreversible surgery.
It is advised to wait at least 18 months after the gastric bypass surgery to get pregnant, it worth mentioning that Surgery pre-pregnancy helps cope with high blood pressure and gestational diabetes.
While if you are pregnant you should postpone any surgical intervention.
We advise our patients to avoid alcohol before and after bariatric surgeries, it has an unwanted impact on the surgery and the health, remember that after surgery, even small amounts of alcohol can cause intoxication and low blood sugar.
Dumping syndrome after gastric bypass surgery is when food goes directly from your stomach pouch into your small intestine without being digested.
There are 2 types of dumping syndrome: early and late.
Early dumping happens 10 to 30 minutes after a meal.
We advise postponing pregnancy until the weight stabilizes — typically at least 12 to 18 months after surgery.
Bariatric surgery is generally associated with improved mental health and quality of life, postsurgical psychological and behavioral changes are less predictable than physical changes. Depression and mood disorders may occur due to the change in lifestyle and calorie intake, it worth mentioning that good mood due to achieved goals my overcome these issues.
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